Vision: Binafsi Afya System

The vision of Binafsi is to build a franchised system of health centers for providing access to educational, preventive, diagnostic and curative services in Kenya. The structure will be an integrated delivery system comprising three major components. (a) KDNC as an overarching body for providing administrative overly as the parent organization. (b) The health system for providing health and clinical services to individuals throughout the country on a distributed franchise system. (c) An aquaponic bio-­‐integrated system that links fish farming with vegetable production to serve as source for good nutrition for communities around the health centers. The KDNC will provide administrative oversight of the distributed franchise system of health centers through regionalized chapters (Sura) whose membership will comprise franchisees. Franchisees will buy a franchise of Binafsi Afya Cooperative, a subsidiary of the KDNC.

The purpose of Binafsi Afya System is to improve access to health services by creating a franchised system of distributed self-­‐contained medical clinics integrated on a common information platform, governed by an overarching cooperative society of franchisees. The primary unit of the distributed Binafsi Afya System will be a single compound unit of six HabiHuts comprising a medical clinic, a diagnostic lab, a pharmacy, water Kiosk, a utilities or supplies hut, and a shelter hut for the owner or manager, and an aquaponic bio­‐integrated system. Multiple clusters in the same neighborhood will produce a HealthCenter‐in-­a­‐Box,based on the principles of village-­in-­a‐box developed by Mike Weas's team in Bozeman and implanted in Kenya for internally displaced people.

A common information platform will facilitate management of the health record on an electronic platform, general administration, training and research. The electronic health record will ease patient/client data capture, storage and retrieval, telemedicine, teleconsulting, telehealth and mobilehealth. The electronic platform will be invaluable for administrative oversight, tracking of financial information, quality assurance, compliance with national regulations, and international standards governing health services delivery. Training of staff on an online platform at Ustawi Research Institute (URI), and exchange of knowledge through peer reviewed scholarly journal system built on Global Journal System (Chapa Journals), both projects of the KDNC, will be possible through the electronic platform. Kenyans in the diaspora, and other interested parties will participate in the Binafsi Afya System in two ways: (a) as franchisee owners of a Binafsi Health Center in Box, and (b) as shareholders in the Binafsi Afya Cooperative Society.

***Bio Macharia Waruingi Dr. Waruingi holds doctorates in medicine and health administration. He is the founding chair of Kenya Development Network and Consortium (see www.kdnc.org), 501(c)(3) focused on construction of sustainable enterprises through research and education. His work is inspired by the works of Peter M. Senge (MIT Sloan Leadership Center, Cambridge, MA). His dissertation project focused onDiscovering the Tacit Dimension of Global Health Leadership Using Grounded Theory and Systems Thinking.Dr. Waruingi explains how we can do things differently to achieve effectiveness in global health in his recent book Emergencing. Dr. Waruingi is also the principal of Ustawi Research Institute (seewww.ustawi.net), an online learning system that aspires to be a degree issuing institution in science technology and medicine, and Global Journal Systems (see www.jghcs.info), a publishing platform for high quality scholarly work from researchers and scholars around the world. Contact: macharia at kdnc.org

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